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Student-Run Clinic Provides Care to Homeless

Interprofessional collaboration is central to all care provided at the student-run
free clinic at 15 Place. USA medical student Jelaina Scott, far left, along with
USA nursing student Zane Cooley and pharmacy student Josh Francis, far right, work
as a team when visiting patients. USA students volunteer at the clinic and are supervised
by medical professionals who also volunteer their time.

The University of South Alabama hosted a ribbon-cutting ceremony Saturday, Oct. 10,
for the student-run free clinic at 15 Place, a homeless shelter in Mobile.

The USA student-run free clinic was created entirely by students and provides free
wellness services to the homeless population of Mobile at 15 Place every Saturday
morning.

“We are able to check blood pressure and blood glucose, provide well check-ups, clean
small wounds, and provide educational sessions on wellness topics such as smoking
cessation, HIV, diabetes and heart health,” said Lauren Nelson, a second-year USA
medical student who volunteers at the clinic.

Nelson said she was thrilled when she learned that USA had a student-run clinic. Prior
to starting medical school, she volunteered at a free clinic in Birmingham. “I believe
that everyone should have access to quality health care, and I think the health and
wellness services we provide to the community are very valuable,” said Nelson, who
began volunteering at 15 Place during her first year of medical school at USA.

The student-run clinic began operation in 2014 and is a collaboration between the
students and faculty of the USA College of Medicine; College of Nursing; several departments
in the College of Allied Health, including physician assistant studies and speech
pathology and audiology; the department of social work in the College of Arts and
Sciences; as well as the Auburn Harrison School of Pharmacy.

Since its opening, the clinic has grown astronomically, according to USA fourth-year
medical student Sarah Boyd, one of the clinic’s founders. “While it started out only
being open two Saturdays a month, it quickly progressed to being open each weekend,”
Boyd said. “We are so proud of all the progress that has been made on the clinic during
the past year and are lucky to have so many dedicated, compassionate students at South
Alabama who allow the clinic to thrive.”

The clinic is one of the only free, inter-professional student-run clinics in the
nation where students from multiple health professional schools collaborate to provide
care to the community’s homeless population.

Dr. Alison Rudd, chair of the faculty advisory committee for the student-run clinic
and assistant professor of nursing at USA, has always had a strong interest in inter-professional
education and collaborative care. “The inter-disciplinary approach is unique in that
it allows the students to learn about one another’s professional roles, while also
giving them a chance to serve the community,” she said. “It gives the students a great
opportunity to practice clinical skills, patient education, and patient communication.”
Rudd also said the clinic provides research opportunities for student volunteers.

According to Nelson, the interaction between professional students is very valuable
as each student brings a different skill-set to the table. “Even though medical, pharmacy
and nursing students all learn clinical skills, many of these skills are learned at
different points in their training,” Nelson said.

On a typical clinic morning at 15 Place, volunteers from several different disciplines
arrive at 8 a.m. for the pre-clinic meeting. During this time, the volunteers are
assigned to work in inter-professional teams in each exam room. Doors are opened to
patients at 8:30 a.m., and they begin the check-in process. Once the patient is in
an exam room, the inter-professional team takes vitals and the patient history and
completes a physical exam. After patients have been seen, the clinic team presents
the case to the faculty member overseeing clinic that day, who helps the team decide
the most appropriate next step for the patient.

The clinic’s hands-on approach has a large impact on professional development, according
to Nelson. “It is satisfying to be able to apply what I am learning in the classroom
to help patients better understand their health,” she said. “I am gaining valuable
clinical experience when I volunteer at 15 Place, and I learn a great deal from our
patients.”

Alex Wiles, development chair of the clinic and a second-year medical student at USA,
said the clinic typically sees up to 30 patients each Saturday. “This clinic is something
that truly matters,” Wiles said. “The amount of gratitude our patients show is life
changing.”

The student-run clinic is currently looking for clinicians to help with student supervision
and oversight of patient care including wellness exams and health screenings. To learn
more, contact Dr. Rudd at arudd@southalabama.edu.